Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

European Society of Cardiology: Cardiovascular Disease Statistics 2019

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Driving following defibrillator implantation: a nationwide register-linked survey study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. HIV infection is associated with thoracic and abdominal aortic aneurysms: a prospective matched cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Oral fluoroquinolones and risk of aortic or mitral regurgitation: a nationwide nested case-control study

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Atrial fibrillation and chronic kidney disease

    Research output: Contribution to journalEditorialResearchpeer-review

  1. Women With Diabetes Are at Increased Relative Risk of Heart Failure Compared to Men: Insights From UK Biobank

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. 2019 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Association Between Recreational Cannabis Use and Cardiac Structure and Function

    Research output: Contribution to journalLetterResearchpeer-review

  4. ATP sensitive potassium (KATP) channel inhibition: A promising new drug target for migraine

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Targeting CGRP via receptor antagonism and antibody neutralisation in two distinct rodent models of migraine-like pain

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Adam Timmis
  • Nick Townsend
  • Chris P Gale
  • Aleksandra Torbica
  • Maddalena Lettino
  • Steffen E Petersen
  • Elias A Mossialos
  • Aldo P Maggioni
  • Dzianis Kazakiewicz
  • Heidi T May
  • Delphine De Smedt
  • Marcus Flather
  • Liesl Zuhlke
  • John F Beltrame
  • Radu Huculeci
  • Luigi Tavazzi
  • Gerhard Hindricks
  • Jeroen Bax
  • Barbara Casadei
  • Stephan Achenbach
  • Lucy Wright
  • Panos Vardas
  • European Society of Cardiology
View graph of relations

AIMS: The 2019 report from the European Society of Cardiology (ESC) Atlas provides a contemporary analysis of cardiovascular disease (CVD) statistics across 56 member countries, with particular emphasis on international inequalities in disease burden and healthcare delivery together with estimates of progress towards meeting 2025 World Health Organization (WHO) non-communicable disease targets.

METHODS AND RESULTS: In this report, contemporary CVD statistics are presented for member countries of the ESC. The statistics are drawn from the ESC Atlas which is a repository of CVD data from a variety of sources including the WHO, the Institute for Health Metrics and Evaluation, and the World Bank. The Atlas also includes novel ESC sponsored data on human and capital infrastructure and cardiovascular healthcare delivery obtained by annual survey of the national societies of ESC member countries. Across ESC member countries, the prevalence of obesity (body mass index ≥30 kg/m2) and diabetes has increased two- to three-fold during the last 30 years making the WHO 2025 target to halt rises in these risk factors unlikely to be achieved. More encouraging have been variable declines in hypertension, smoking, and alcohol consumption but on current trends only the reduction in smoking from 28% to 21% during the last 20 years appears sufficient for the WHO target to be achieved. The median age-standardized prevalence of major risk factors was higher in middle-income compared with high-income ESC member countries for hypertension {23.8% [interquartile range (IQR) 22.5-23.1%] vs. 15.7% (IQR 14.5-21.1%)}, diabetes [7.7% (IQR 7.1-10.1%) vs. 5.6% (IQR 4.8-7.0%)], and among males smoking [43.8% (IQR 37.4-48.0%) vs. 26.0% (IQR 20.9-31.7%)] although among females smoking was less common in middle-income countries [8.7% (IQR 3.0-10.8) vs. 16.7% (IQR 13.9-19.7%)]. There were associated inequalities in disease burden with disability-adjusted life years per 100 000 people due to CVD over three times as high in middle-income [7160 (IQR 5655-8115)] compared with high-income [2235 (IQR 1896-3602)] countries. Cardiovascular disease mortality was also higher in middle-income countries where it accounted for a greater proportion of potential years of life lost compared with high-income countries in both females (43% vs. 28%) and males (39% vs. 28%). Despite the inequalities in disease burden across ESC member countries, survey data from the National Cardiac Societies of the ESC showed that middle-income member countries remain severely under-resourced compared with high-income countries in terms of cardiological person-power and technological infrastructure. Under-resourcing in middle-income countries is associated with a severe procedural deficit compared with high-income countries in terms of coronary intervention, device implantation and cardiac surgical procedures.

CONCLUSION: A seemingly inexorable rise in the prevalence of obesity and diabetes currently provides the greatest challenge to achieving further reductions in CVD burden across ESC member countries. Additional challenges are provided by inequalities in disease burden that now require intensification of policy initiatives in order to reduce population risk and prioritize cardiovascular healthcare delivery, particularly in the middle-income countries of the ESC where need is greatest.

Original languageEnglish
JournalEuropean Heart Journal
Volume41
Issue number1
Pages (from-to)12-85
Number of pages74
ISSN0195-668X
DOIs
Publication statusPublished - 1 Jan 2020

ID: 62243949